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Updated: Aug 4, 2026

Automated Measurement of Cryptococcal Species Polysaccharide Capsule and Cell Body
Published on: January 11, 2018
Abstract:
Cryptococcal meningitis is a life-threatening disease. Headache, vomiting, cranial nerve symptoms and mental changes are the most common symptoms, but as many as 15% may have no symptoms referable to the CNS. For chemotherapy four drugs are available: namely amphotericin B, 5-fluorocytosine, miconazole and ketoconazole. Most cases have been treated by combination of amphotericin B and 5-fluorocytosine. The intrathecal administration of amphotericin B should be considered for patients who fail to respond to the usual intravenous therapy. The case is reported of a patient who died due to hydrocephalus, and the CSF-levels of the administered drugs are presented. Some pitfalls of therapy are discussed.
Insights
Cryptococcal meningitis is a severe infection. This study examines treatment options and drug levels in cerebrospinal fluid (CSF), highlighting potential therapeutic challenges.
Area of Science:
- Infectious Diseases
- Neurology
- Pharmacology
Background:
- Cryptococcal meningitis is a critical illness with varied neurological symptoms.
- Standard chemotherapy involves amphotericin B and 5-fluorocytosine, with intrathecal amphotericin B as a consideration for refractory cases.
Observation:
- Presents a case of cryptococcal meningitis resulting in hydrocephalus.
- Details cerebrospinal fluid (CSF) drug levels for administered therapies.
Findings:
- Discusses common and atypical presentations of cryptococcal meningitis.
- Analyzes the efficacy and potential pitfalls of current therapeutic strategies.
Implications:
- Informs clinical management of cryptococcal meningitis.
- Highlights the importance of monitoring CSF drug concentrations.
- Suggests areas for improved therapeutic approaches in managing this life-threatening infection.
Related Concept Videos
Bacterial Meningitis
Viral Meningitis
Cryptococcal Meningitis
Bacterial Meningitis I: Introduction
Bacterial Meningitis II: Pathophysiology
Encephalitis l: Introduction

